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TECHNOLOGY UPDATE
Varian Medical Systems International AG
Bangkok August 24, 2012
Rolf B Staehelin
VARIAN
ONCOLOGY
Director International Marketing
SYSTEMS
1 | VARIAN ONCOLOGY SYSTEMS
Novalis Tx
Neurosurgical &
Radiosurgical
Applications
Trilogy
All in One
Treatment
System
ProBeam
Clinac
Fully-integrated
Proton Therapy
System
Innovative
Treatment
Platform
UNIQUE
Cost-Effective
Oncology
Solution
Varian BrachyTherapy
Eclipse
Treatment
Planning
System
ARIA
Oncology
Information
System
TrueBeam
Clinical Capabilities
Complete
Product Portfolio
Novalis Tx
Trilogy
IMRT / RapidArc
Neuro- & Radiosurgery
Advanced IGRT
IMRT / RapidArc
SRS/SRT
kV & MV IGRT
Clinac iX/DHX
UNIQUE
Power
IMRT / RapidArc
kV & MV IGRT
UNIQUE
Performance
3D-CRT
MLC. MV imaging
Basic 2D RT
no MLC, no imaging
Investment
Clinical Challenges
Clinical Versatility
Precision
Mechanics
Electronics (control)
Imaging System
Decision
Imaging Applications
Speed
TrueBeam STx
TrueBeam
Radically Different
Innovative
Intelligent
Intuitive
TrueBeam
Innovative
New
Architecture
TrueBeam
Innovative
Beam
Generation
TrueBeam
New Beam Generation System
Today in Clinics
Multi-Energy: 13 Carousel Positions available
5 Flattened Photon Energies: 4, 6, 8, 10, 15, 18 & 20 MV
Future
TrueBeam
High Intensity - Flattening Filter Free (FFF) Mode
TrueBeam
High Intensity - FFF Mode - Literature
TrueBeam
High Intensity - FFF Mode - Profiles
X6
X10
X6FFF
X10FFF
Prostate
Liver
Lung
Breast
SRS
t
Hypo-fx e.g. 4 x 9.5 Gy = 38 Gy
t
16 | VARIAN ONCOLOGY SYSTEMS
Data courtesy
Neolife Cancer Center
Istanbul, Turkey
Data courtesy
Humanitas Institute
Rozzano-Milano, Italy
Data courtesy
VU University Medical Center
Amsterdam, Netherlands
Data courtesy
Humanitas Institute
Rozzano-Milano, Italy
TrueBeam
Intelligent
Superior
Image
Guidance
Simplified, Automated
Imaging Modes
TrueBeam
Intelligent
Superior
Image
Guidance
Fluoroscopy
with playback and review
MV Cine
Respiration synchronized
kV and MV Imaging
During setup
During treatment
TrueBeam
Innovative
Intrafraction
Motion
Review
TrueBeam Imaging
kV Fluoroscopy during RapidArc Treatment
TrueBeam Imaging
Intrafraction Motion Review - Fiducial Markers
TrueBeam
Intelligent
New
Standards
In Accuracy
Gantry rotational:
< 0.3 degrees
Collimator rotational:
< 0.5 degrees
TrueBeam
Intuitive
Simple,
Automated
Operation
TrueBeam
Treatment Console
TrueBeam
Intuitive
50
Faster
Clinical
Use
Registrations / Clearances:
>270 installations
>550 orders
US FDA, CE Mark/ MDD, Russia Gost, Saudi Arabia SFDA, China SFDA, Japan Shonin,
Australia & New Zealand, Thailand, Korea, India,
TrueBeam
Work-in-progress
Exotic
Trajectories
* Work-in-progress. Not available for sale.
TrueBeam
Exotic Trajectories
TrueBeam
Exotic Trajectories
TrueBeam
Exotic Trajectories
Calypso
GPS for the Body
Beacon Transponder
4D Electromagnetic Array
4D Tracking Station
Implanted Beacon
Electromagnetic
Transponders
4D Console
Calypso
Tumor Tracking Technology
Works in Progress
39 | VARIAN ONCOLOGY SYSTEMS
TrueBeam
6 Degrees of Freedom (6DoF) Couch
RapidArc
Radiosurgery
TrueBeam
6 Degrees of Freedom (6DoF) Couch
RapidArc
Radiosurgery
TrueBeam
Clinical relevance
Vertebrae
High dose gradients around the
spinal cord
Pitch is important when the
tumor spreads over more than
one vertebra
TrueBeam
Clinical relevance
Intracranial tumors
Sparing optical structures
(optical chiasm, optical nerve)
TrueBeam
Clinical relevance
Lungtop
TrueBeam
Summary
Radically
Different
Future
Designed to optimize
radiotherapy and radiosurgery
Integrates and choreographs
powerful imaging and treatment
systems
Unparalleled accuracy
Unlocks new treatment options
Our Vision
Make Cancer a manageable, chronic disease
that can be treated by our products better and
more cost-effectively
Make advanced therapy affordable for
many around the world, not few